The nurse has just completed a lymph node assessment on a healthy 40-year-old female patient. Which of the following is an expected finding?

Fixed lymph nodes

Lymph nodes that are large, firm, and fixed to the tissue

Nonpalpable lymph nodes

Rubbery, discrete, and mobile lymph nodes

Answer and Explanation

The Correct Answer is C

A.   Fixed lymph nodes suggest possible malignancy or infection and are not typical for a healthy individual.
B.   Lymph nodes that are large, firm, and fixed to the tissue also suggest infection or malignancy and would be abnormal in a healthy patient.
C.   Nonpalpable lymph nodes are a normal finding.
D.   Rubbery, discrete, and mobile lymph nodes are indicative of a pathological process.

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Correct Answer is B

Explanation

A. Adventitious sounds (e.g., wheezing, crackles, or stridor) are abnormal sounds that may be heard in addition to breath sounds. They do not specifically correlate with decreased breath sounds.
B. When there is obstruction in the bronchial tree (such as in conditions like asthma, chronic obstructive pulmonary disease (COPD), or a foreign body obstruction), the airflow is reduced, leading to decreased breath sounds in the affected areas.
C. Whispered pectoriloquy refers to hearing whispered sounds through the stethoscope, which would be more clearly heard with consolidation or lung tissue becoming more solid (e.g., in pneumonia), not with decreased breath sounds.
D. In consolidation (such as pneumonia), breath sounds are typically increased or bronchial, not decreased. The consolidation makes the lung tissue more solid, which can amplify breath sounds.

A. Cervical B. Epitrochlear C. Inguinal D. Axillary

Correct Answer is D

Explanation

A. Cervical nodes drain the head and neck area, not typically the forearm or hand.
B. Epitrochlear nodes are found near the elbow and are responsible for draining the arm. The nurse would assess these nodes if the infection is in the arm or hand.
C. Inguinal nodes drain the lower extremities and groin area, not the upper extremities.
D. Axillary nodes drain the upper limbs, including the forearm and hand, and are likely to be swollen if there is an infection in the upper extremities.

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The nurse has just completed a lymph node assessment on a healthy 40-year-old female patient. Which of the following is an expected finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During auscultation of the lungs, the nurse expects decreased breath sounds to be heard in which situation?

Correct Answer is B

Explanation

A client presents with an infection of the forearm and hand. The nurse should expect what lymph nodes to be swollen on assessment:

Correct Answer is D

Explanation

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